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General NPI Number Information
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NPI Number | 1962772038
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGEL EMS
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 411 W 8TH AVE
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City | HOMESTEAD
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State | PA
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Zip | 15120-1014
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Country | US
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Telephone | 412-337-4523
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Fax |
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Provider Business Mailing Address
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Address Line | 413 W 8TH AVENUE
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City | WEST HOMESTEAD
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State | PA
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Zip | 15120-1014
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Country | US
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Telephone | 412-337-4523
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JUSTIN MCAFEE
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Credential |
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Telephone | 412-337-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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